OHIOS HOSPICE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OHIOS HOSPICE FOUNDATION (EIN 31-1769696)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-13
IRS object ID
201202879349300700
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-13T12:30:47-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310800053EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK SCHAEFER HACKETT COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110100 INNOVATION DRIVE SUITE 400AddressLine1
CityDAYTONCity
StateOHState
ZIP Code45342ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311769696EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DAYTON FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone9372564490Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY DURSTName
TitleCFOTitle
Phone9372564490Phone
Date Signed2012-07-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEVIN T DAVIS CPAName
PTINP00039883PTIN
Phone9372260070Phone
Date Prepared2012-07-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRENDA HUMFLEETNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12688936GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.HOSPICEOFDAYTON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FINANCIAL SUPPORT TO ITS PARENT ORGANIZATION, THE HOSPICE OF DAYTON, INC. (31-0933339)ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2073942ContributionsGrantsPriorYear
Contributions Grants Current Year2465639ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year705111InvestmentIncomePriorYear
Investment Income Current Year1436056InvestmentIncomeCurrentYear
Other Revenue Prior Year322615OtherRevenuePriorYear
Other Revenue Current Year222457OtherRevenueCurrentYear
Total Revenue Prior Year3101668TotalRevenuePriorYear
Total Revenue Current Year4124152TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1177836GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2151665GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year961278TotalFundrsngExpCurrentYear
Other Expense Prior Year957393OtherExpensePriorYear
Other Expenses Current Year1202979OtherExpensesCurrentYear
Total Expenses Prior Year2135229TotalExpensesPriorYear
Total Expenses Current Year3354644TotalExpensesCurrentYear
Revenues Less Expenses Prior Year966439RevenuesLessExpensesPriorYear
Revenues Less Expenses CY769508RevenuesLessExpensesCY
Total Assets BOY23814881TotalAssetsBOY
Total Assets EOY24080890TotalAssetsEOY
Total Liabilities BOY438908TotalLiabilitiesBOY
Total Liabilities EOY1141921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23375973NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22938969NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPICE OF DAYTON FOUNDATION IS A SUPPORTIVE FOUNDATION OF THE HOSPICE OF DAYTON, INC. IT PROVIDES COUNSEL AND ASSISTANCE TO THE HOSPICE OF DAYTON, INC., BY HELPING TO IDENTIFY AND ACCESS INDIVIDUAL AND CORPORATE FINANCIAL SUPPORT WITH THE HOSPICE OF DAYTON'S SERVICE AREA; PROVIDING A COMMUNITY PERSPECTIVE ON KEY ISSUES RELEVANT TO PALLIATIVE AND HOSPICE CARE; AIDING IN THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY OUTREACH EDUCATIONAL PROGRAM; HELPING TO SHAPE KEY MESSAGES ON HOSPICE AND PALLIATIVE CARE; HELPING FORMULATE STRATEGIES TO INCREASE THE NON-EARNED REVENUE; AND MAKING FUNDING/GRANTING DECISIONS RELATIVE TO THE HOSPICE OF DAYTON, INC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2151665Expense
Grants2151665Grants
DescriptionSUPPORT OF THE HOSPICE OF DAYTON, INC. (EIN. 31-0933339). GRANTS PAID SUPPORT PATHWAYS OF HOPE, FOCUSED/COMPLIMENTARY CARE, PALLIATIVE CARE, INDIGENT CARE, AS WELL AS SUPPORT OVERALL COMMUNITY BASED MODEL OF CARE.Description
Total Program Service Expense2151665TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JERRY DURSTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9372564490TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454201891ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CAROL LEVITAN
TRUSTEE2.00X000
DONALD WECKSTEIN
TRUSTEE-SEC./TREAS.2.00X000X
KENT ANDERSON
TRUSTEE - BVOP/PRESIDENT-HOD2.00X03429174108
WILLIAM THALER
TRUSTEE-CHAIR2.00X000X
ROBERT MUES
TRUSTEE2.00X000
HOWARD MICHAELS
TRUSTEE2.00X000
VICKI PEGG
TRUSTEE2.00X000
DR JOHN M ROLL
TRUSTEE2.00X000
JERRY TATAR
TRUSTEE2.00X000
ROBERT A YECK
TRUSTEE2.00X000
GARY LEROY
TRUSTEE2.00X000
GREG TOMAN
TRUSTEE2.00X000
ROBERT BRETHEN
TRUSTEE-VICE CHAIR2.00X000X
BRENDA HUMFLEET
PRESIDENT40.00019029217350X
JERRY DURST
CFO - HOD2.00016568816622X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs698897TotalReportableCompFrmRltdOrgs
Total Other Compensation38080TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns271618FederatedCampaigns
Fundraising Events18660FundraisingEvents
All Other Contributions2175361AllOtherContributions
Noncash Contributions115444NoncashContributions
Total Contributions2465639TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column651191TotalRevenueColumn
Exclusion$651,191ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9175919Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8391054Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities784865Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column784865TotalRevenueColumn
Exclusion$784,865ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events288718GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events18660CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses66261FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column222457TotalRevenueColumn
Exclusion$222,457ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory107469GrossSalesOfInventory
Cost Of Goods Sold107469CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4124152TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,658,513ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2151665Total
Program Services2151665ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total174515Total
Management And General174515ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25529Total
Management And General21147ManagementAndGeneral
Fundraising4382Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41681Total
Fundraising41681Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total41820Total
Management And General41820ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total7604Total
Management And General1481ManagementAndGeneral
Fundraising6123Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
ALLOCATED SALARIES, BEN546891546891
PRINTING AND PUBLICATIO194473193758715
POSTAGE AND MAILINGS9639396186207
FUNDRAISING ACTIVITIES1546015460

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total58613Total
Management And General1816ManagementAndGeneral
Fundraising56797Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3354644Total
Program Services2151665ProgramServices
Management And General241701ManagementAndGeneral
Fundraising961278Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY750BOY
EOY1000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1829919BOY
EOY326619EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY605127BOY
EOY885945EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21379085BOY
EOY22867326EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23814881BOY
EOY24080890EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY464BOY
EOY1382EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY438444BOY
EOY1140539EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY438908BOY
EOY1141921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21818087BOY
EOY21375131EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY447886BOY
EOY453838EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1110000BOY
EOY1110000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23375973BOY
EOY22938969EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23814881BOY
EOY24080890EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses769508ReconcilationRevenueExpenses
Reconcilation Other Changes-1206512ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE HOSPICE OF DAYTON INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN310933339EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$2,151,665Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts2151665SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22828457BeginningOfYearBalance
Contributions1890Contributions
Investment Earnings Or Losses38869InvestmentEarningsOrLosses
Other Expenditures1890OtherExpenditures
End Of Year Balance22867326EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14407503BeginningOfYearBalance
Contributions6273655Contributions
Investment Earnings Or Losses2324795InvestmentEarningsOrLosses
Other Expenditures177496OtherExpenditures
End Of Year Balance22828457EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7500120BeginningOfYearBalance
Contributions6015800Contributions
Investment Earnings Or Losses1396370InvestmentEarningsOrLosses
Other Expenditures504787OtherExpenditures
End Of Year Balance14407503EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9640550BeginningOfYearBalance
Investment Earnings Or Losses-2140430InvestmentEarningsOrLosses
End Of Year Balance7500120EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.95150BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.04850PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED ENTITY (THE HOSPICE OF DAYTON, INC. 31-0933339)Description
Amount$1,140,539Amount
FieldValueIRS element (for citing)
Total Of Amounts1140539TotalOfAmounts
Total Revenue4124152TotalRevenue
Total Expenses3354644TotalExpenses
Excess Or Deficit For Year769508ExcessOrDeficitForYear
Net Unrealized GL On Investments-1222464NetUnrealizedGLOnInvestments
Other$15,952OtherAmount
Total Adjustments-1206512TotalAdjustments
Excess Or Deficit Per FS-437004ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2921855TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1222464NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities5000DonatedSrvcAndUseOfFacilities
Other Revenues189682OtherRevenues
Revenue Not Rptd F990-1027782RevenueNotRptdF990
Revenue Subtotal3949637RevenueSubtotal
Investment Expenses Not Included174515InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt174515RevenueNotRptdOnFinStmt
Total Revenue Per Form9904124152TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3358859TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities5000DonatedServicesUseOfFacilities
Other Expenses Included173730OtherExpensesIncluded
Expenses Not Rptd F990178730ExpensesNotRptdF990
Expenses Subtotal3180129ExpensesSubtotal
Investment Expenses Not Included2174515InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt174515ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903354644TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS ARE MAINTAINED TO PROVIDE FINACIAL SUPPORT TO THE FOUNDATION'S PARENT ORGANIZATION, THE HOSPICE OF DAYTON, INC. (31-0933339). IT IS THE FOUNDATION'S OBJECTIVE TO UTILIZE CURRENT FUNDRAISING TO SUPPORT THE HOSPICE OF DAYTON, INC.'S PROGRAMS, TO GROW AND PROVIDE RESERVES FOR UNFORESEEN CIRCUMSTANCES OR TO FUND SIGNIFICANT NEW INITIATIVES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD FAIL TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. AS DISCUSSED ABOVE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES AND MANAGEMENT BELIEVES THE ORGANIZATION HAS NOT ENGAGED IN ANY ACTIVITIES THAT WOULD DISQUALIFY IT FROM TAX-EXEMPT STATUS OR INCUR A TAX OBLIGATION FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010. THE ORGANIZATION BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2008. THE ORGANIZATION'S POLICY WITH REGARD TO INTEREST AND PENALTY, IF INCURRED, IS TO RECOGNIZE INTEREST THROUGH INTEREST EXPENSE AND PENALTIES THROUGH OTHER EXPENSE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN SPLIT INTEREST AGREEMENTS 15,952.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE 66,261. CHANGE IN SPLIT INTEREST AGREEMENTS 15,952. COST OF GOODS SOLD 107,469.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE 66,261. COST OF GOODS SOLD 107,469.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF CLASSICNameOfEvent1
Gross Receipts Event1111100GrossReceiptsEvent1
Charitable Contributions Event16200CharitableContributionsEvent1
Gross Revenue Event1104900GrossRevenueEvent1
Other Direct Expenses Event126837OtherDirectExpensesEvent1
Name Of Event2FASHION SHOWNameOfEvent2
Gross Receipts Event285613GrossReceiptsEvent2
Charitable Contributions Event212460CharitableContributionsEvent2
Gross Revenue Event273153GrossRevenueEvent2
Other Direct Expenses Event224361OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events110665GrossReceiptsOtherEvents
Gross Revenue Other Events110665GrossRevenueOtherEvents
Other Direct Expenses Other Events15063OtherDirectExpensesOtherEvents
Gross Receipts Total307378GrossReceiptsTotal
Charitable Contributions Total18660CharitableContributionsTotal
Gross Revenue Total Events288718GrossRevenueTotalEvents
Other Direct Expenses Total Events66261OtherDirectExpensesTotalEvents
Direct Expense Summary Events66261DirectExpenseSummaryEvents
Net Income Summary222457NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE HOSPICE OF DAYTON INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient310933339EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant2151665AmountOfCashGrant
Purpose Of GrantTO FACILIATE THE HOSPICE OF DAYTON, INC. PURPOSE TO PROVIDE HOSPICE CARE TO THE TERMINALLY ILL.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationFORM 990, SCHEDULE F, PART I, QUESTION 2; GRANTS ARE ONLY PROVIDED TO THE HOSPICE OF DAYTON, INC. TO SUPPORT PROGRAMS IDENTIFIED AND APPROVED BY THE FOUNDATION'S BOARD OF TRUSTEES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENT ANDERSON
0272517070400000004108034702500
BRENDA HUMFLEET
01630550272370001324204108020764200
JERRY DURST
01431880225000001251404108018231000

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990111194NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionOFFICE DECORDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9904250NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKEY VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE HOSPICE OF DAYTON, INC. TRUSTEES AND BOARD MEMBERS OF HOSPICE OF DAYTON FOUNDATION ARE PROVIDED THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPICE OF DAYTON, INC. MAINTAINS A CONFLICT OF INTEREST POLICY. THE BOARD OF TRUSTEES ANNUALLY REPORTS ON ANY ACTIVITY THAT COULD GIVE RISE TO POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE PRESIDENT/CEO OF THE HOSPICE OF DAYTON, INC. UTILIZES LOCAL MARKET KNOWLEDGE, DATA FROM SIMILAR HOSPICE AND MEDICAL FACILITIES, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE PRESIDENT OF THE FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19HOSPICE OF DAYTON FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS (INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS PARENT, THE HOSPICE OF DAYTON, INC.) AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST FOR SUCH INFORMATION.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,222,464. CHANGE IN SPLIT INTEREST AGREEMENTS 15,952. TOTAL TO FORM 990, PART XI, LINE 5: -1,206,512.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE BOARD OF TRUSTEES HAS CHARGED THE FINANCE COMMITTEE OF THE HOSPICE OF DAYTON, INC. WITH OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENET WITH THE PRIOR YEAR.
FORM 990, PART IX, LINE 24A:ALL COMPENSATION OF FOUNDATION EMPLOYEES IS PAID BY THE HOSPICE OF DAYTON, INC. (31-0933339) AND IS ALLOCATED TO THE FOUNDATION. THE TOTAL ALLOCATED AMOUNT OF $546,891 CONSISTS OF $441,449 OF SALARIES, $77,830 OF OTHER EMPLOYEE BENEFITS AND $27,612 OF PAYROLL TAXES. THE ALLOCATION IS BASED ON ACTUAL COST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE HOSPICE OF DAYTON INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVENUEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode
FieldValueIRS element (for citing)
EIN310933339EIN
Primary ActivitiesHOSPICE CARE OF TERMINALLY ILL.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE HOSPICE OF DAYTON INC (31-0933339)
B2151665CASH VALUE
THE HOSPICE OF DAYTON INC (31-0933339)
K614268CASH VALUE
THE HOSPICE OF DAYTON INC (31-0933339)
M41820CASH VALUE
THE HOSPICE OF DAYTON INC (31-0933339)
N546891CASH VALUE

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